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Below-Knee Prosthesis Protective Cover, Custom-Shaped

Arkansas rates for HCPCS L5704

Custom shaped protective cover, below knee (BK)

Rates data updated July 2026.

Facilitymedian $380,189 · 10th–90th $355$891,2510%10%20%10th90th$380,189Professionalmedian $331 · 10th–90th $209$4790%20%10th90th$331$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$346.74
Typical High
$478.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$288.40
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$478.63
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$478.63